Healthcare Provider Details

I. General information

NPI: 1831019603
Provider Name (Legal Business Name): WONDERFULLY MADE CATERING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

883 SEVEN OAKS BLVD STE 830
SMYRNA TN
37167-6692
US

IV. Provider business mailing address

479 W. SAM RIDLEY PKWY SUITE 105 /PMB 319
SMYRNA TN
37167-6493
US

V. Phone/Fax

Practice location:
  • Phone: 615-556-3664
  • Fax:
Mailing address:
  • Phone: 615-556-3664
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174200000X
TaxonomyMeals Provider
License Number
License Number State

VIII. Authorized Official

Name: MRS. TASHA N. DOLLSON
Title or Position: OWNER/CEO
Credential:
Phone: 615-556-3664